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Introduction: Ayushman Bharat is an attempt to move from a selective approach to health care to deliver comprehensive range of services spanning preventive, promotive, curative, rehabilitative and palliative care. To ensure delivery of Comprehensive Primary Health Care services, existing Sub Health Centers and Primary Health Centers are converted to Health and Wellness Centers (HWC).Objective: The main objective of our study is to assess functionality of HWCs in various blocks of Jamnagar district and to determine prevalence of non-communicable diseases in the community. It is a cross sectional study conducted between August-December 2019. A semi-structured proforma containing questionnaires was used for data collection. Data were entered and analyzed in Microsoft Excel version 2007.There are 58 health and wellness centers in Jamnagar, of which, we randomly select 50% of centers from each taluka, so total of 29 HWCs selected, four among them could not be assessed, so our final sample size would be 25. Result: Our study observed satisfactory performance of health and wellness centres except barring a few indicators. Community health officers and multipurpose workers are available in about majority of centers. The study found that the prevalence of hypertension, diabetes mellitus, oral Cancer, breast cancer, and cervical Cancer was 20.44%, 11.03%, 0.73% 0.45% and 1.02% respectively. Staff at the centers was in need of vital training like Techo, refresher training etc. Conclusion: Majority of health and wellness centers are functioning as per the guidelines laid down by the Government barring a few services like laughing club, music therapy, meditation etc.

Background: Family planning (FP) programme has been integrated since long with MCH programme in order to reduce maternal and child mortality. The period of pregnancy, delivery, and postnatal period is very crucial to sensitize the women to adopt contraceptive practice because during this time they are in constant contact with health provider and more receptive to advice. The present study is designed in this context to see whether the utilization of maternal health services have any impact on adoption of modern contraceptives in extended postpartum period. Materials and Methods: Community-based cross-sectional study was done in urban slum of Jamnagar, Gujarat, for 1 year in 2016. Two-stage sampling methodology was used; in first stage, 30 Anganwadi centres (AWC) was chosen by systemic random sampling and in second stage from each AWC, 8 women in extended postpartum period were included. Study included total 240 women. Sampling was done at household level. Descriptive statistics for sociodemographic factors and reproductive characteristics were done. Chi-square test was used to find association between different variables. Result: Prevalence of using modern contraceptive was only 24.6%. The most preferred choice was barrier method (35.5%), followed by sterilization (27.1%), Intrauterine device (IUD) (25.04%), and OCP (12%). Around 57% women had taken ≥4 health center visit during their last pregnancy and 7.5% had never visited or consulted. 12% women were delivered at home. Majority of the participants (63.5%) were not paid visit by health worker, only 15% were provided with adequate postnatal visit and 21% had inadequate visit during their immediate postpartum period. A statistical association was found between usage of contraceptive with health center visit during ANC, postnatal visit by HW, parity and age of women in extended postpartum period. Conclusion: There is need to improve the quality of maternal health services to increase the utilization of FP services.

Background: A Burden of diabetes and hypertension is on rise in India. India, being a developing country, has unique problems regarding the treatment compliance which is a serious risk for morbidity and mortality. Hypertension is major risk factors for cardiovascular and cerebrovascular disease. Compliance is a primary determinant of the effectiveness of treatment because poor compliance attenuates optimum clinical benet and paves the way for complications. To assess the compliance to treatment Aim: of hypertension of diagnosed patients and study various factors affecting the compliance of treatment of hypertension. Cross sectional study conduc Materials And Methods: ted in the tertiary care hospital non communicable disease clinic. All the cases of hypertension diagnosed for more than 6 months were included. The data were collected over a period of two months (August -September 2021). All the study participants were interviewed using a semi- structured questionnaire after obtaining informed verbal consent. questionnaire was including details on demography, medical documentation, treatment details and factors assessing the, knowledge about hypertension and compliance towards the disease treatment. A t Results: otal 260 hypertensive participated in this study. According to Morisky8 scale of compliance of treatment of hypertension, 44.23% and 55.77% of participants were having moderate and low compliance, respectively. Males had lower compliance than females. Patients with comorbidities and on multiple medications, longer duration of treatment, senior citizens were factors related to non-compliance. In this study 67.3% of the respondents had comorbidities. Patients having hypertension with other comorbidities were poor compliant on treatment than who had not comorbidities. According to Morisky 8 Conclusion: scale compliance of treatment of hypertension, 44.23% and 55.77% of participants were having moderate and low compliance respectively. Males had lower compliance than females. Patients with comorbidities and on multiple medications, longer duration of treatment, senior citizens were factors related to non-compliance.